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Throwback Thursday: The Leadership Mantras of Don Davis

Throwback Thursday: The Leadership Mantras of Don Davis

It’s been just about 18 years since I was leaving GM to start the master’s program at MIT’s Leaders for Manufacturing program (now called Leaders for Global Operations). Here’s a 1992 interview that describes the origins of the program. It was a different world then… trying to save and bolster “American manufacturing” while we’re now […]

Lean: Hit or Myth? Layoffs, Patient-Centered Care, and More

Lean: Hit or Myth? Layoffs, Patient-Centered Care, and More

It’s not uncommon to hear statements thrown around about Lean that are more of a myth than anything resembling reality. I remember the time a professor told a group that if Toyota ran a health clinic, a buzzer would go off at the end of the planned appointment time and the patient would be kicked […]

Lean in the Kitchen; Weekend Urgent Care

Lean in the Kitchen; Weekend Urgent Care

I hope y’all had a nice Memorial Day weekend here in the U.S. It’s a global audience for the blog, but I had the take the day off from Lean (other than this post for the holiday). I spent a lot of time over the weekend being lazy and resting as many people do – […]

Memorial Day 2015 – A Day of Remembrance

Memorial Day 2015 – A Day of Remembrance

Today is Memorial Day in the United States, a day for remembering those lost in war and in military service. It’s a day worth remembering those veterans who are alive and need to be served better by our VA health system and by society. Here are a few past posts on this topic… these problems, […]

Key Tweets from @MarkGraban – Week of May 18, 2015

Key Tweets from @MarkGraban – Week of May 18, 2015

Here’s the latest installment of “Key Tweets,” a post that summarizes some of my tweets (or retweets) from the week. Follow me @MarkGraban and join the fun and the conversation. See the previous installments of Key Tweets here. If you’re reading this via email or RSS, you might get a better experience by clicking through to view […]

10 Key Lean Mindsets for Factories, Hospitals, Startups, and More

10 Key Lean Mindsets for Factories, Hospitals, Startups, and More

Here’s my latest post for LinkedIn through their “Influencers” series. It might be old hat to readers of this blog, but I hope what I shared is useful for a wider audience that I have there. 10 Key Lean Mindsets for Factories, Hospitals, Startups, and More Feel free to comment there at LinkedIn or here […]

Is Your Lean Journey Being Embraced With “Open Arms?” Are you Practicing Lean “Faithfully?”

Is Your Lean Journey Being Embraced With “Open Arms?” Are you Practicing Lean “Faithfully?”

The phrase “Lean journey” is used widely to describe an organization’s transformation over time. It’s either a phrase that invokes helpful imagery or it’s a horrible cliché. I was speaking at a Lean event last week and I kept hearing “Lean journey” come out of the mouths of most speakers. It probably counts as a […]

Podcast #222 – Erin S. DuPree, M.D., FACOG, Joint Commission Center for Transforming Healthcare

Podcast #222 – Erin S. DuPree, M.D., FACOG, Joint Commission Center for Transforming Healthcare

Joining me for episode #222 of the podcast is Erin S. DuPree, M.D., FACOG, the Chief Medical Officer and Vice President for the Joint Commission Center for Transforming Healthcare. Dr. DuPree is an OB/GYN by training, was previously the Chief Medical Officer and Senior Vice President for Medical Affairs at The Mount Sinai Medical Center in […]

Gemba in the NICU: More Notes from our “Kaizen Live” Experience at Franciscan

Gemba in the NICU: More Notes from our “Kaizen Live” Experience at Franciscan

In my first post about the on-site Kaizen learning experience at Franciscan St. Francis Health, an event I came to call “Kaizen Live,” I wrote about some of the initial presentations and discussions from Franciscan leaders. You can also see my tweets from the days. A big part of the 1.5-day event was the three “gemba […]

U.S. Hospitals Have the Best E.R. Care for Kids, But Aren’t Prepared For Them?

U.S. Hospitals Have the Best E.R. Care for Kids, But Aren’t Prepared For Them?

There’s been a back and forth of views about the state of pediatric emergency medicine recently in the Wall St Journal. Let me start first, actually, with the more recent statement, a rebuttal from Michael Gerardi M.D., FACEP, President of the American College of Emergency Physicians, in the form of a letter to the editor. He wrote: “Emergency […]

Key Tweets from @MarkGraban from the Last Two Weeks – May 4 & 11, 2015

Key Tweets from @MarkGraban from the Last Two Weeks – May 4 & 11, 2015

Here’s the latest installment of “Key Tweets,” a post that summarizes some of my tweets (or retweets) from the week. Follow me @MarkGraban and join the fun and the conversation. See the previous installments of Key Tweets here. If you’re reading this via email or RSS, you might get a better experience by clicking through to view […]

Throwback Thursday – What Did a Mid 1990s Textbook Say About Lean?

Throwback Thursday – What Did a Mid 1990s Textbook Say About Lean?

My friend Ryan, who works at a hospital in Canada, sent me a few pictures of an Industrial Engineering textbook that he used almost 20 years ago. He wrote: I was cleaning up my upstairs when I came across a textbook from 1996 from my Industrial Engineering undergrad studies.  On a hunch, I wanted to […]

Another Experiment That Works in Healthcare: Safety Huddles

Another Experiment That Works in Healthcare: Safety Huddles

Following up on yesterday’s post on seemingly successful experiments with ACOs, here’s another article, from HBR, on “safety huddles” in healthcare: “How Every Hospital Should Start the Day“ I’ve seen some hospitals using daily safety huddles. It sends a powerful message when leaders make patient safety (and staff safety) a visible priority in the organization. Recently, […]

An Experiment That Works in Healthcare: Pioneer ACOs

An Experiment That Works in Healthcare: Pioneer ACOs

You might be considered “wonky” for enjoying the topics discussed here at LeanBlog.org… but that’s fine. This is a safe environment for being wonky about Lean and improvement. From Vox.com, Sarah Kliff normally does a great job covering healthcare topics, including this latest piece: “This small, wonky Obamacare program saved $384 million over 2 years“ Since […]

Not What We Mean by Celebrating Failures [Dilbert 5/7/15]

Not What We Mean by Celebrating Failures [Dilbert 5/7/15]

Did you see last Thursday’s Dilbert? The first panel is pictured at left. Visit dilbert.com to see the whole cartoon. In the Lean community, we talk about the need to encourage improvement and experimentation by not punishing failures. Sometimes when you try, you’re going to “fail” or not get the outcome you were expecting, predicting, or hoping […]

Are There Any Hospitals That Should NOT Try Lean or Kaizen?

Are There Any Hospitals That Should NOT Try Lean or Kaizen?

I was asked an interesting and thought-provoking question the other day: “Are there any hospitals where you’d suggest not trying to adopt Lean or situations where it might be counterproductive or harmful?” This question came from a PhD management professor who was, in my estimation from his comments, somebody who thought Lean was a bunch […]

That Medication Cabinet is Secure… Or Secure-ish

That Medication Cabinet is Secure… Or Secure-ish

I was on a long flight the other day and I watched an episode of the ABC comedy Black-ish. In episode 3 of the first season, the mother of the family, named Rainbow (her parents were hippies), is trying to impress her young daughter by showing her what it’s like to be an anesthesiologist. The […]

Dr. Atul Gawande’s Article on Reducing the Waste of Unnecessary Healthcare

Dr. Atul Gawande’s Article on Reducing the Waste of Unnecessary Healthcare

I’ve been a big fan of Dr. Atul Gawande’s writing for a long time (see previous posts about him and his work). His latest article is out, which I was able to read last night. It just came out (or I first heard of it yesterday). Overkill: An avalanche of unnecessary medical care is harming patients […]

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